Dr. David B. Adams – Psychological Blog

Psychology of Illness, Pain, Anxiety and Depression

The Disservice of Providing Service

Anxiety disorders (including PTSD) are rather common after robbery, assault, and severe (burn, amputation, etc) injury.

Several things complicate dealing with the employee, and in order, they are:
_ Symptoms may not emerge for several weeks (and sometimes for several months)
_ Their emotional complaints are ignored by those treating the injury
_ The employer and coworkers minimizes and sometimes mock such complaints
_ The patient and his/her family lack understanding as to why these symptoms occur.
_ Diagnosis and treatment are almost always postponed to save costs.

Most often, these patients should not return to the store, department, area, building or site of the trauma.

There is a process called redintegration in which a small cue (sound, smell, sight of location or equipment) can and will trigger overwhelming anxiety.

It is far easier to have this patient work at a different Burger King, a different company location or even a different job.

At the same time, they need to be desensitized so that it is the *event* and not the setting that threatens them.

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